Individual provider Active NPI

Kacper Krzysztof Pierwola, MD

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Lancaster, PA
National Provider Identifier
1831542885
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
License
MD474945 Issued in PA
Practice address
675 Good Dr
Lancaster, PA 17601-2426
Phone
(717) 406-3000
Fax
(717) 394-7501
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X MD474945 PA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X MD474945 PA Primary

Addresses

Primary practice location

675 Good Dr
Lancaster, PA 17601-2426

Mailing address

675 Good Dr
Lancaster, PA 17601-2426
Phone (717) 406-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812001260 PA Practitioner - Physical Medicine and Rehabilitation 4486940327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3197

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

2106 Harrisburg Pike
Lancaster, PA 17601-2644

2108 Harrisburg Pike
Lancaster, PA 17601-2644

2110 Harrisburg Pike
Lancaster, PA 17601-2644

2112 Harrisburg Pike
Lancaster, PA 17601-2644

2150 Harrisburg Pike
Suite 200a
Lancaster, PA 17601-2644
Phone (717) 544-3059

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

675 Good Dr
Lancaster, PA 17601-2426
Phone (717) 406-3000

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Lancaster Rehabilitation Hospital Inpatient rehabilitation facility, Lancaster, PA, CCN 393054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD474945PAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital CurrentSince Aug 30, 2021 Accepting new patients
Lancaster General Medical Group Physical Medicine & Rehabilitation CurrentSince Aug 30, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 30, 2021 Accepting new patients
Lancaster General Hospital CurrentSince Aug 30, 2021 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster Rehabilitation Hospital, LLP Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

2150 Harrisburg Pike
Ste 200A
Lancaster, PA 17601
Phone (717) 396-9167

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

Interoperability endpoints

  • Direct secure messaging: kpierwola214954@direct-lghealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1831542885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "717-406-3000",
            "fax_number": "717-394-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "717-406-3000",
            "fax_number": "717-394-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERWOLA",
        "first_name": "KACPER",
        "middle_name": "KRZYSZTOF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD474945",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "PA",
            "license": "MD474945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.